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Showing results for "death".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46296/psn-pdf
     September 24, 2017 - among operating room personnel from survey data is associated with all- cause 30-day postoperative death … Among Operating Room Personnel From Survey Data Is Associated With All-cause 30-day Postoperative Death

422. How to avoid falling victim to a hospital mistake. | PSNet
     psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
     April 06, 2016 - April 6, 2016 Organ donor's surgery death sparks questions. … June 16, 2019 View More Related Resources Lessons learned from a death

423. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. | PSNet
     psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using
     November 27, 2012 - April 8, 2018 Unexpected death within 72 hours of emergency department visit: were those

424. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
     psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
     March 01, 2015 - that most quality problems, while associated with injury and prolonged hospital stays, do not cause death … premise that, as a result of today's short hospital stays, unsafe inpatient care may not manifest as death … First do no harm by avoiding faulty statistics and interrogate every death Hospital-wide R-AHMRs based … He has also worked on adjusted hospital death rates in England, Scotland, the United States, Canada, … This is just an adjusted death rate that you might want to look at.

425. Fires during surgeries a bigger risk than thought. | PSNet
     psnet.ahrq.gov/issue/fires-during-surgeries-bigger-risk-thought
     August 24, 2016 - August 9, 2017 MGH death spurs review of patient monitors. … June 8, 2011 'Alarm fatigue’ a factor in 2nd death.

426. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet
     psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
     March 29, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. Citation Text: Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intra…

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36917/psn-pdf
     September 01, 2011 - Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. September 1, 2011 Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996- 2004 from closed claims registered by the Danish…

428. Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet
     psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
     September 10, 2014 - February 15, 2017 Unexpected Death of a Patient During Treatment With Multiple Medications

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40404/psn-pdf
     February 10, 2015 - The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. February 10, 2015 Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year--and aim to do even better.…

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33608/psn-pdf
     February 01, 2024 - or ethnic group or socioeconomic circumstances in pregnancy-related morbidity;6 for every maternal death … relationship between hospital birth volume and progression of severe maternal morbidity to maternal death … pregnancy through 42 days postpartum.28 It is reported to be the second leading cause of maternal death

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74125/psn-pdf
     January 01, 2022 - Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. December 1, 2021 Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients f…

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48064/psn-pdf
     June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019. https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45301/psn-pdf
     April 22, 2017 - Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. April 22, 2017 Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20…

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35023/psn-pdf
     March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. March 4, 2011 Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43602/psn-pdf
     October 15, 2014 - Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. October 15, 2014 Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Com…

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851071/psn-pdf
     June 28, 2023 - Inside the preventable deaths that happened within a prominent transplant center. June 28, 2023 Blau M. ProPublica. June 14, 2023. https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center Medical errors during organ transplants can have catastrophic consequences. This repo…

437. Is the FDA to blame for drug shortages? | PSNet
     psnet.ahrq.gov/issue/fda-blame-drug-shortages
     April 11, 2012 - August 1, 2012 Organ donor's surgery death sparks questions. … May 7, 2014 Mother says ER misdiagnosis leads to son's death.

438. The devil inside wired medicine. | PSNet
     psnet.ahrq.gov/issue/devil-inside-wired-medicine
     May 30, 2018 - More Related Resources Avoiding care during the pandemic could mean life or death … March 21, 2007 Cause of death: sloppy doctors.

439. Afraid to speak up to medical power. | PSNet
     psnet.ahrq.gov/issue/afraid-speak-medical-power
     May 01, 2013 - July 22, 2009 Investigators find hospital error caused mother’s death in Brooklyn. … April 3, 2013 What a new doctor learned about medical mistakes from her Mom's death.

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42745/psn-pdf
     October 31, 2014 - ) or patient factors (i.e., those admitted on weekends could be more complex and at higher risk of death … For certain diagnoses, such as pulmonary embolism, the risk of death was elevated during the first 48